| Entity Name: | TRANQUILITY MENTAL HEALTH & WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2022 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 15 Mar 2022 (3 years ago) |
| Document Number: | L22000092592 |
| FEI/EIN Number | 882087485 |
| Address: | 5915 Berkford Dr., HOLIDAY, FL, 34690, US |
| Mail Address: | 5915 Berkford Dr., HOLIDAY, FL, 34690, US |
| ZIP code: | 34690 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629701792 | 2022-07-06 | 2022-10-20 | 15985 PRESERVE MARKETPLACE BLVD UNIT 107, ODESSA, FL, 335565509, US | 2430 ESTANCIA BLVD STE 106, CLEARWATER, FL, 337612607, US | |||||||||||||||||||||
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| Phone | +1 727-683-6868 |
| Fax | 7272055448 |
| Phone | +1 727-416-2845 |
Authorized person
| Name | LISA ANN LOWE |
| Role | OWNER/PROVIDER |
| Phone | 7276836868 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOWE LISA A | Agent | 5915 BERKFORD DR, HOLIDAY, FL, 34690 |
| Name | Role | Address |
|---|---|---|
| LOWE LISA A | Manager | 5915 BERKFORD DR, HOLIDAY, FL, 34690 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-15 | 5915 Berkford Dr., HOLIDAY, FL 34690 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-15 | 5915 Berkford Dr., HOLIDAY, FL 34690 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-03-15 | TRANQUILITY MENTAL HEALTH & WELLNESS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-30 |
| LC Amendment and Name Change | 2022-03-15 |
| Florida Limited Liability | 2022-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
